Gregory Etienne, PHYSICIAN ASSISTANT

NPI 1669180915 · on the registry since 2022 · sole proprietor

Practice

Address: 126 S Coronado Dr Ste B
Sierra Vista, AZ 85635
Phone: (786) 618-8554
Organisation at this address: Keyamed, Inc A P C
Bindi Patel Dental, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: PR, AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona